Green, Jennifer Nicole

Green, Jennifer Nicole is an individual health care provider with primary practice located at 2435 Ne Cumulus Ave., Ste A , Mcminnville OR 97128-8862. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Green, Jennifer Nicole can be contacted via phone (503) 434-8286.

Contact Information

Primary practice address
2435 Ne Cumulus Ave., Ste A Mcminnville OR 97128-8862
Phone: (503) 434-8286
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X DO 167350 Oregon

Profile Details

NPI number 1043519895
LBN Legal business name Green, Jennifer Nicole
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 18th, 2011
Last updated Mar 6th, 2024 - about 8 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1043519895 NPPES
Oregon Other DO167350 MEDICAL LICENSE

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